Iowa 2025-2026 Regular Session

Iowa House Bill HF2415

Caption

A bill for an act relating to certain health insurance policies, contracts, and plans and a special enrollment period for pregnant women.(Formerly HF 606.)

Impact

The implementation of HF2415 is planned to commence on January 1, 2027, and applies to various types of third-party health insurance policies. These include individual and group health plans, as well as health maintenance organizations. Importantly, the bill expressly does not cover certain insurance types such as accident-only or Medicare supplement plans. This strategic scope ensures that the most relevant policies for pregnant women are included while excluding others that do not align with the bill's purpose.

Summary

House File 2415 introduces significant changes to health insurance policies concerning pregnant women by establishing a special enrollment period. This special enrollment allows pregnant women to join a health insurance plan at any time up to 16 weeks of pregnancy after certification from a healthcare professional. The bill aims to enhance access to health care for expectant mothers by ensuring that they can secure insurance coverage without penalties that might typically apply for late enrollment.

Contention

While the bill primarily aims to support pregnant women, there may be concerns regarding insurance providers' financial implications of accommodating additional enrollments. Some stakeholders may contest the bill on the grounds of potential increased costs for insurance companies, which could impact premiums for all policyholders. Moreover, discussions around the operational aspects of implementing such enrollment provisions could pose logistical challenges for insurers, given the new requirements that could alter existing practices.

Companion Bills

IA HF606

Similar To A bill for an act relating to certain health insurance policies, contracts, and plans and a special enrollment period for pregnant women.(See HF 2415.)

Previously Filed As

IA HF606

A bill for an act relating to certain health insurance policies, contracts, and plans and a special enrollment period for pregnant women.(See HF 2415.)

IA HF308

A bill for an act relating to Medicare supplement policies and an annual open enrollment period.(Formerly HF 70.)

IA SB794

Health Insurance - Special Enrollment Period for Pregnancy - Coverage Effective Date

IA HF70

A bill for an act relating to Medicare supplement policies and an annual open enrollment period.(See HF 308.)

IA SF71

A bill for an act relating to Medicare supplement policies and an annual open enrollment period.

IA HF807

A bill for an act creating the compassion and care for medically challenging pregnancies Act. (Formerly HF 589.)

IA SF188

A bill for an act relating to health insurance coverage for contraceptive devices, drugs, and services.

IA HB1009

To Allow Pregnancy To Be A Qualifying Event For Enrollment In Certain Health Benefit Plans.

IA SF130

A bill for an act relating to health insurance coverage for infertility.

IA SB521

Health Insurance - Material Changes to Provider Networks - Notification and Special Enrollment Period

Similar Bills

IA HF606

A bill for an act relating to certain health insurance policies, contracts, and plans and a special enrollment period for pregnant women.(See HF 2415.)

NJ S2247

Requires non-invasive prenatal testing for pregnant persons and health insurance coverage for non-invasive prenatal testing.

CA AB546

Health care coverage: portable HEPA purifiers.

US SB687

BCRA of 2025 Births in Custody Reporting Act of 2025

NJ S1991

Requires DOH to conduct survey on status of antenatal and prenatal care clinics in New Jersey.

NJ A948

Requires DOH to conduct survey on status of antenatal and prenatal care clinics in New Jersey.

NV SB138

Makes revisions governing health care for pregnant women and newborn children. (BDR 40-580)

CA SB228

An act to add Sections 123486, 123487, 123501, and 123521 to the Health and Safety Code, relating to health care.